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APPL. SERVICE ���_ I I � <br />N�, ,��GJ71 , CITY OF EVERETT ORDER <br />Y APPLICATION FOR WATER SERVICE N��1 �� f 8�_ <br />� F�•XED � �. <br />DATE_ � <br />'� ���b W.O. <br />� DEP051Y � � / No. <br />SERVICE(�YA'OORue)J �I� ��� � ����, ��L�.�--BLK._�LOT�ADD(,.(L(��L�q1G.1 <br />OWNER �/'� I I [ I �(,t".l � CONTRAC i OR_�,3-�__t21�_ �J <br />INSTALt-! l`ERED SERVIGE _—__ <br />I HEREBY APPLY F9R THE ACCORDANCE WITH THE <br />ORUINANCES AND POLICIES OF THE WATER DEPARiMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAF7ER CHANGED. sicr�co:� <br />MAlEH1AL8 � IN. I IN. � 2 IN. <br />PIPE Q�i1L./f'7Li COPPER -- GALV. •- STEEL I V I <br />CURB COCK OT <br />SERVICE BOX <br />METER VALVE <br />.1 <br />� <br />DATEINSTALLED: <br />C:OOE � <br />a <br />PL,1�fIC - GI <br />rj�U �—`� <br />ALL LARGE <br />�i <br />IZ�� 1 rVV I ❑ OFF <br />LABOR ANO EOUIPMEN'fRENTAL <br />REMARKS: <br />SF�V�(�F� Co�rfS O GOLb'� J!'"I'G <br />PRICF II AMOl1NT <br />SUB TOTAL <br />XOURS I RATE <br />TOTAL <br />